Jazini, Ehsan

Jazini, Ehsan is an individual health care provider with primary practice located at 11800 Sunrise Valley Dr Ste 600 , Reston VA 20191. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Jazini, Ehsan can be contacted via phone (703) 709-1114.

Contact Information

Primary practice address
11800 Sunrise Valley Dr Ste 600 Reston VA 20191
Phone: (703) 709-1114
Fax: (703) 709-1117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 49233 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101262789 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 0101262789 Virginia

Profile Details

NPI number 1568758951
LBN Legal business name Jazini, Ehsan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Mar 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568758951 NPPES
Kentucky MEDICAID 7100422590
Kentucky MEDICAID 201379230
Kentucky MEDICAID 870300100
Kentucky MEDICAID 017293178

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